| Drs Beck & Becker Sc | |
|
1505 Park Ave. Columbus WI 53925 | |
| (920) 623-2340 | |
| (920) 623-2765 |
| Full Name | Drs Beck & Becker Sc |
|---|---|
| Speciality | Dentist |
| Location | 1505 Park Ave., Columbus, Wisconsin |
| Authorized Official Name and Position | James M Beck (PARTNER) |
| Authorized Official Contact | 9206232340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Beck & Becker Sc Po Box 163 Columbus WI 53925 Ph: (920) 623-2340 | Drs Beck & Becker Sc 1505 Park Ave. Columbus WI 53925 Ph: (920) 623-2340 |
| NPI Number | 1164487328 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164487328 | NPI | - | NPPES |
| 33541700 | Medicaid | WI | |
| 33541800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5000598 (Wisconsin) | Primary |
| 122300000X | Dentist | 5000599 (Wisconsin) | Secondary |
Columbus Family Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 Park Ave, Columbus, WI 53925 Phone: 920-623-5559 |